Spatial variations in the bioaccessibility and health risks induced by chromium (Cr), manganese (Mn), cobalt (Co), nickel (Ni), copper (Cu), zinc (Zn), arsenic (As) and lead (Pb) in roadside dust from different land-use areas, i.e., commercial areas (CA), planned residential areas (PRA), spontaneous residential areas (SRA) and urban green areas (UGA) in Dhaka city, Bangladesh, were investigated. An in vitro simple bioaccessibility extraction test (SBET) method, which allows the simulation of the gastric (GP) and intestinal phases (IP) of human digestion, was applied to evaluate bioaccessibility and human health risk, assessed using United States Environmental Protection Agency (U.S. EPA) modelling. The average bioaccessible concentration of Zn was the highest in both the gastric (74.4–244.5 µg/g) and intestinal phases (74.4–244.5 µg/g) in all the land-use areas except UGA. The bioaccessibility percentages of Co and Cu in the IP phase and As in the GP phase were >40% for all the land-use categories. Carcinogenic (Cr, Ni, As and Pb) and non-carcinogenic human health risks were evaluated for the ingestion pathway, in both children and adults. The results suggest that there were no non-carcinogenic risks for adults and children exposed to roadside dust toxic metals, but the risk levels of roadside dust toxic metals in some sampling areas were high. The carcinogenic risks of Cr in SRA (for children) and Ni in CA (for both adults and children), PRA (for children) and UGA (for children) were found to be within a tolerable range of 10−6 to 10−4.